Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to provide the required eight hours of Registered Nurse (RN) coverage within a 24-hour period, as evidenced by a review of daily staff postings and timecard reports. Specifically, on May 27, there was not eight hours of RN coverage, and in June, RN coverage was missing for 13 out of 30 days. In July, RN coverage was missing for two out of the first ten days. The Director of Nursing (DON), who also served as the Nursing Home Administrator (NHA), acknowledged shared responsibility for ensuring RN coverage with a Unit Manager RN, and reported ongoing difficulties in maintaining stable staffing due to frequent call-ins. Requested documentation of staffing policies and RN coverage was not provided prior to the survey exit. All 37 residents in the facility were potentially affected by this deficiency.